| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
133,878 |
133,873 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,329 |
2,645 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,914 |
1,199 |
$8K |
| 99442 |
|
414 |
218 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
200 |
$776.56 |
| 99385 |
|
142 |
93 |
$665.58 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$545.47 |
| 99443 |
|
30 |
30 |
$276.96 |
| 36415 |
Collection of venous blood by venipuncture |
242 |
224 |
$72.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
75 |
$66.50 |
| 99441 |
|
28 |
27 |
$28.84 |
| 94760 |
|
25 |
12 |
$4.14 |
| 99499 |
|
22 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
93 |
54 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
12 |
$0.00 |
| 99000 |
|
251 |
238 |
$0.00 |
| 90674 |
|
48 |
44 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |